NPIMap

Organization Active NPI

Riverside Community Care

  • State or Local Public Health Clinic/Center
  • Needham, MA
National Provider Identifier
1346464823
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
RIVERSIDE COMMUNITY CARE
Doing business as
Riverside Community Care
Practice address
255 Highland Ave
Needham, MA 02494-3023
Phone
(781) 449-1884
NPI assigned
Apr 13, 2007
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Marsha MedalieNPI 1588026843
Title
Executive Vice Pres.
Phone
(781) 320-5328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

255 Highland Ave
Needham, MA 02494-3023

Mailing address

450 Washington St
Suite 201
Dedham, MA 02026-4455
Phone (781) 329-0909

Other identifiers 5

IdentifierTypeStateIssuer
0007559OtherNHP
1802704MedicaidMA
715687OtherTUFTS EI
EI0028OtherBCBSMA
617939OtherHPHC

Other names 1

  • Riverside Community Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside Community Services15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 68

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1346464823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264455",
            "telephone_number": "781-329-0909",
            "fax_number": "781-329-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 HIGHLAND AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943023",
            "telephone_number": "781-449-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "MEDALIE",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRES.",
        "authorized_official_telephone_number": "781-320-5328",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "0007559",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802704",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS EI",
            "identifier": "715687",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "EI0028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "617939",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.